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CASE REPORT
Year : 2014  |  Volume : 6  |  Issue : 8  |  Page : 425-427

Endocapsular hematoma: a rare form of ocular hemorrhage after thrombolysis with streptokinase


Vitreoretinal Services, Sardar Bahadur Dr. Sohan Singh Eye Hospital, Amritsar, Punjab, India

Correspondence Address:
Bodhraj Dhawan
Sardar Bahadur Dr. Sohan Singh Eye Hospital, Chowk Farid, Katra Sher Singh, Amritsar - 143 001, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1947-2714.139310

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Context: Endocapsular hematoma has previously been described as a cataract surgery complication more commonly observed in eyes receiving a combined cataract and glaucoma surgery. However, it can also be a rare form of ocular bleed following thrombolysis with streptokinase. Case Report: A 65-year-old diabetic male presented to us with complain of sudden painless diminution of vision in his left eye, which he developed while he was being thrombolysed with streptokinase administered intravenously for an episode of acute myocardial infarct. On examination, left eye was pseudophakic with collection of blood in the capsular bag (Endocapsular hematoma). Conclusion: Endocapsular hematoma can be a rare form of ocular bleeding complicated by thrombolysis. Reporting this case becomes more relevant in the present era with increasing number of patients suffering from ischemic heart disease and likely to undergo thrombolysis.


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